Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,630.78 / $7,413.10	Facility		$223.87	$3,630.78	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $281.84	Professional		$107.15	$169.82	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $3,548.13	Facility		$549.54	$1,819.70	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $346.74	Professional		$131.83	$218.78	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $630.96	Facility		$125.89	$144.54	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $331.13	Professional		$114.82	$186.21	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $354.81	Professional		$114.82	$208.93	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $346.74 / $478.63	Professional		$5.01	$346.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $1,230.27 / $2,344.23	Facility		$81.28	$1,230.27	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $316.23	Professional		$109.65	$177.83	$316.23